| Category | Amount |
|---|---|
| N/A |
| Description of Property | Date Acquired | Cost or Other Basis | Prior Years' Depreciation | Computation Method | Rate / Life (# of years) |
Current Year's Depreciation Expense | Net Investment Income | Adjusted Net Income | Cost of Goods Sold Not Included |
|---|
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| 34 SHARES OF JOHNSON & JOHNSON | 1,946 | 3,492 |
| Description | Amount |
|---|---|
| DIFFERENCE BETWEEN FAIR MARKET VALUE AND | 0 |
| TAX BASIS OF SECURITIES CONTRIBUTED | 40,751 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| AGENCY FEES | 2,040 | 2,040 | ||
| INVESTMENT EXPENSES | 3,523 | 3,523 |
| Description | Amount |
|---|---|
| TO RECLASSIFY AMOUNT THAT WAS | 0 |
| INCORRECTLY REFLECTED AS A CONTRIBUTION | 0 |
| IN 2011. THIS AMOUNT SHOULD HAVE BEEN | 0 |
| REFLECTED AS A LOAN RECEIVABLE | 939,000 |
| Description | Beginning of Year - Book Value | End of Year - Book Value |
|---|---|---|
| BANK OVERDRAFT | 413 | 0 |
| Borrower's Name | Relationship to Insider | Original Amount of Loan | Balance Due | Date of Note | Maturity Date | Repayment Terms | Interest Rate | Security Provided by Borrower | Purpose of Loan | Description of Lender Consideration | Consideration FMV |
|---|---|---|---|---|---|---|---|---|---|---|---|
| LOAN RECEIVABLE - THE WILLOW SCHOOL INC | 939,000 | 939,000 | 0 % |